Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.47 / $178.78 / $474.57	Professional		$65.47	$178.78	$474.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $238.96 / $482.39	Professional		$76.20	$238.96	$482.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $142.11 / $502.82	Professional		$70.15	$142.11	$502.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $98.71 / $471.07	Professional		$43.85	$98.71	$471.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $737.67 / $737.67 / $737.67	Facility		$737.67	$737.67	$737.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $87.71 / $461.84	Professional		$0.78	$87.71	$461.84
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.13 / $265.62 / $511.24	Professional		$172.13	$265.62	$511.24